Provider Demographics
NPI:1528202850
Name:JP MEDICAL SUPPLY
Entity Type:Organization
Organization Name:JP MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:IWUCHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-6600
Mailing Address - Street 1:8700 COMMERCE PARK DR. STE. 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-995-6600
Mailing Address - Fax:713-995-6602
Practice Address - Street 1:8700 COMMERCE PARK DR STE 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7430
Practice Address - Country:US
Practice Address - Phone:713-995-6600
Practice Address - Fax:713-995-6602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies